Transglottic corticosteroid injection for treatment of soft post-intubation subglottic stenosis: a retrospective analysis of 26 children

Kaufmann, Jost; Bode, Katrin; Puder, Christian; Laschat, Michael; Engelhardt, Thomas; Wappler, Frank

doi:10.1007/s00405-019-05642-y

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Intubationstraumen1

Surgical Management1

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2023

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Cited by 2 publications

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“…Wenn nach der Extubation ein Stridor auftritt, der nicht durch Inhalation von β-Mimetika und Kortikoidgabe sistiert, sollte eine rasche Endoskopie des Larynx erfolgen. Mit der transglottischen Injektion eines Depotkortikoids können 80 % der schweren Schädigungen, bei denen sonst eine Tracheotomie unvermeidlich gewesen wäre, geheilt werden [24].…”

Section: Intubationstraumenunclassified

Atemwegsmanagement in der Kinderanästhesie

Kaufmann¹

2023

Anästhesiol Intensivmed Notfallmed Schmerzther

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Section: Intubationstraumenunclassified

Atemwegsmanagement in der Kinderanästhesie

Kaufmann¹

2023

Anästhesiol Intensivmed Notfallmed Schmerzther

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“…Success rates for endoscopic intervention are lower in patients with mature scar tissue. However, repeated scar lysis, balloon dilation, and application of adjuvant therapies, such as steroid or mitomycin injection, may work well for mature scar of lower Myer‐Cotton grade stenoses 24,25 …”

Section: Surgical Managementmentioning

confidence: 99%

Anesthesia for laryngotracheal reconstruction in children: A narrative review

Lee

Prager

Mandler

et al. 2023

Pediatric Anesthesia

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Laryngotracheal stenosis, congenital or acquired, is a common cause of pediatric airway obstruction. Acquired subglottic stenosis frequently results from prolonged neonatal intubation. The clinical presentation of subglottic stenosis is variable, ranging from biphasic stridor and frequent upper respiratory infections to acute airway compromise. Optimal patient care requires clinical coordination within a multidisciplinary subspecialty team. Medical management includes optimizing respiratory status, gastroesophageal reflux, speech, feeding, nutrition therapies, and providing psychosocial support. If surgical intervention is required, the otolaryngologist, anesthesiologist, and perioperative team must collaborate closely to ensure successful operative outcomes. This narrative review of laryngotracheal stenosis will discuss the pathophysiology, clinical evaluation, medical management, and surgical interventions, and focus on the perioperative anesthetic considerations for children undergoing laryngotracheal reconstruction.

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Transglottic corticosteroid injection for treatment of soft post-intubation subglottic stenosis: a retrospective analysis of 26 children

Cited by 2 publications

References 22 publications

Atemwegsmanagement in der Kinderanästhesie

Atemwegsmanagement in der Kinderanästhesie

Anesthesia for laryngotracheal reconstruction in children: A narrative review

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